How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $19.95 Median $41.69 Typical High $93.33 | Facility | None | $19.95 | $41.69 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $34.67 | Professional | None | $15.14 | $15.14 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $60.26 Typical High $91.20 | Facility | None | $22.39 | $60.26 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $44.67 | Professional | None | $19.95 | $19.95 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $23.99 Typical High $63.10 | Facility | None | $11.75 | $23.99 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $40.74 | Professional | None | $10.47 | $14.13 | $40.74 |
Denver HMP Setting Facility Modifier None Typical Low $15.14 Median $19.95 Typical High $41.69 | Facility | None | $15.14 | $19.95 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $51.29 | Professional | None | $19.95 | $28.18 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $19.95 Median $37.15 Typical High $41.69 | Facility | None | $19.95 | $37.15 | $41.69 |
Select Health Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $30.20 | Professional | None | $14.13 | $19.95 | $30.20 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $14.79 | Professional | None | $8.51 | $11.48 | $14.79 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $17.38 | Professional | 52 · Reduced service | $7.59 | $7.59 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $6.92 | Professional | 53 · Discontinued | $3.02 | $3.02 | $6.92 |
Where Colorado sits
The same service costs 5.5 times more in Texas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 14th of 51
$27.54
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.